Corazon B Fajota

NPI 1134396997 - Registered Nurse - 163W00000X

NPI Details
NPI 1134396997
Gender Female
Enumeration Date 05/12/2008
Last Updated 05/12/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1590 W SUNSET RD
HENDERSON NV, 89014-6633, US
Phone (702) 486-6700
Fax
Business Location
6161 W CHARLESTON BLVD
LAS VEGAS NV, 89146-1126, US
Phone (702) 486-6098
Fax
Toxanomy
Taxonomy Code 163W00000X
License State Nevada
License Number RN28056
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According to our database, Corazon B Fajota NPI is 1134396997, taxonomy code is 163W00000X and license number is RN28056, license state is located at Nevada. Corazon B Fajota physically located at 1590 W Sunset Rd, Henderson NV, 89014-6633. NPI Number Corazon B Fajota has the Individual type.

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1134396997 NPI number is provided on an as is basis without warranty of any kind. 1134396997 is maintained by the National Plan & Provider Enumeration System. The contents of Corazon B Fajota are for informational purposes only.